Individual ProviderVanessa ClarkCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126(702) 468-7977(725) 232-1991PECOS EnrollmentBased on the most recent information from CMS, provider Vanessa Clark does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467947549Provider TypeIndividualFull NameClark, VanessaGenderFemaleSole ProprietorNoEnumeration Date6/29/2018Last Updated7/7/2023Contact InformationPractice LocationPractice Address6171 W Charleston Blvd, Las Vegas, NV 89146-1126Phone(702) 468-7977FaxUnlisted FaxMailing LocationMailing Address6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126Phone(725) 232-1991FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCI3017Nevada